QLD Immunisation Symposium ONLY

Registration for the Queensland Immunisation Symposium 2024

If you are looking to register for the Queensland Annual Therapeutic Update Conference 2024 as well as the Immunisation Symposium please REGISTER HERE

Please note all fields marked with an * are required. If you require any assistance during this process, please contact the events team via email conference@psa.org.au or phone 1300 369 772. Once you start completing this registration, there is no option to save a draft and return to it later.

A credit card will be required to pay for registration fees on completion of this form. Mastercard or VISA are the accepted methods of payment.

If you are completing this registration on behalf of someone else, be sure to add your email address to the additional email field to be copied in on important conference correspondence.

Data Consent

At PSA we are committed to protecting the privacy of the personal data you provide for this event registration.

Please ensure you read our Data Processing Policy which details how we collect and use your data before providing consent. If you chose to withdraw your consent, we will be unable to process your registration for this event.

I give consent

I withdraw consent

Attendee Details

PSA Member Number

Email Address

First Name

Last Name

Attendee Address ( which will appear on the invoice)

Street Address

Suburb/City

State

Postcode

Please provide the following information:

Contact Number

Alternative Email address

Organisation (skip if not applicable)

Your Role/Current Position

Special Dietary Requirements

Please indicate below ONLY if you have any special dietary requirements or food allergies.

skip if not applicable

Preferences

I consent to PSA and related entities to send me information about this activity, industry updates and advertising and promotional communications regarding products and services

I agree

Only contact me with information about this event

Please select your MAIN position in pharmacy practice:

ACCHO pharmacist

Aged care pharmacist

Community pharmacy employee

Community pharmacy manager

Community pharmacy owner

GP pharmacist

Hospital pharmacist

Independent consultant pharmacist

Intern Pharmacist

Pharmaceutical industry

Pharmacy Student

Other

Registration for the Queensland Immunisation Symposium 2024

Data Consent

Attendee Details

Attendee Address ( which will appear on the invoice)

Queensland Immunisation Symposium - Friday 18th October

Special Dietary Requirements

Preferences

AHPRA Registration Number

Please select your MAIN position in pharmacy practice:

If you have any special requirements we need to be aware of (eg. visual difficulty or wheelchair access etc) please let us know below

Payment

QLD Immunisation Symposium ONLY

Registration for the Queensland Immunisation Symposium 2024

Data Consent

Attendee Details

Attendee Address ( which will appear on the invoice)

Queensland Immunisation Symposium - Friday 18th October

Special Dietary Requirements

Preferences

AHPRA Registration Number

Please select your MAIN position in pharmacy practice:

If you have any special requirements we need to be aware of (eg. visual difficulty or wheelchair access etc) please let us know below

Payment

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